Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas
Joint Authors
Elaffandi, Ahmed
Ebeid, Walid
Khalil, Haitham H.
El-Ghoneimy, Ahmed
Mahboub, Tarek
Farid, Yasser
Afifi, Ahmed
Source
Issue
Vol. 2008, Issue 2008 (31 Dec. 2008), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2008-03-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction and aim.
Management of complicated wounds after tumor extipiration of pelvic and proximal lower limb musculoskeletal sarcoma represents an essential component in the outcome of these patients.
The authors present modified vertical rectus abdominis musculocutaneous (VRAM) flap techniques to reconstruct extensive defects after debridment of these complicated wounds.
Material and Methods.
Over a period of 4 years (2002–2005), 5 men and 2 women were managed.
Median age was 21 years (range 15–49).
The patients were managed for complicated lower trunk, groin, and upper thigh wounds after resection of three pelvic chondrosarcomas as well as two pelvic and two proximal femur osteosarcomas.
The modifications included a VRAM flap with lateral and tongue-like extension design of the skin paddle (5 cases) or a delayed extended VRAM flap (2 cases).
Results.
All flaps showed complete survival and healing with no ischemic events providing stable coverage.
All patients were ambulant with good limb functions in terms of walking and gait after adequate rehabilitation, 2 needed support with crutches.
Conclusion.
The modified VRAM flaps offer reliable reconstructive tools for coverage of complex groin and thigh defects by providing larger well-vascularized soft tissue with acceptable donor site.
American Psychological Association (APA)
Khalil, Haitham H.& El-Ghoneimy, Ahmed& Farid, Yasser& Ebeid, Walid& Afifi, Ahmed& Elaffandi, Ahmed…[et al.]. 2008. Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas. Sarcoma،Vol. 2008, no. 2008, pp.1-6.
https://search.emarefa.net/detail/BIM-497502
Modern Language Association (MLA)
Khalil, Haitham H.…[et al.]. Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas. Sarcoma No. 2008 (2008), pp.1-6.
https://search.emarefa.net/detail/BIM-497502
American Medical Association (AMA)
Khalil, Haitham H.& El-Ghoneimy, Ahmed& Farid, Yasser& Ebeid, Walid& Afifi, Ahmed& Elaffandi, Ahmed…[et al.]. Modified Vertical Rectus Abdominis Musculocutaneous Flap for Limb Salvage Procedures in Proximal Lower Limb Musculoskeletal Sarcomas. Sarcoma. 2008. Vol. 2008, no. 2008, pp.1-6.
https://search.emarefa.net/detail/BIM-497502
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497502